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Correspondence
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Volume 344:855-857 March 15, 2001 Number 11
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Prevention of Hip Fracture with Use of a Hip Protector

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To the Editor: Kannus et al. (Nov. 23 issue)1 report that the use of external hip protectors reduces the risk of hip fracture in elderly people by 60 percent. We believe that there is uncertainty about the magnitude of the effect because the analysis was not performed on an intention-to-treat basis. The authors excluded 298 subjects who declined to participate after randomization, 68 percent of whom had been assigned to the hip-protector group. An additional 657 subjects dropped out after the study had begun. Some of those who dropped out were replaced by subjects from the waiting list (95 percent . . . [Full Text of this Article]

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